中华现代护理杂志2024,Vol.30Issue(25) :3439-3444.DOI:10.3760/cma.j.cn115682-20240102-00016

基于德尔菲法喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案的构建

Construction of an inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients based on Delphi method

南方 肖倩 田梓蓉 龙海欣 王春苗 李新楠
中华现代护理杂志2024,Vol.30Issue(25) :3439-3444.DOI:10.3760/cma.j.cn115682-20240102-00016

基于德尔菲法喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案的构建

Construction of an inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients based on Delphi method

南方 1肖倩 2田梓蓉 3龙海欣 4王春苗 4李新楠4
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作者信息

  • 1. 首都医科大学护理学院,北京 100069;首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京 100730
  • 2. 首都医科大学护理学院,北京 100069
  • 3. 首都医科大学附属北京同仁医院护理部,北京 100730
  • 4. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京 100730
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摘要

目的 构建喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案.方法 于2022年6月—2023年5月,通过文献检索与分析,初步拟定喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案;采用德尔菲法对喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案进行2轮专家函询.结果 共纳入15名专家进行2轮专家函询.2轮专家函询的问卷有效回收率均为100.0%(15/15);2轮函询的专家权威系数分别为0.885、0.855,肯德尔和谐系数分别为0.217、0.230(P<0.01);最终形成的喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案包括一级条目3项(吞咽训练阶梯、吞咽训练方法和摄食指导方法)、二级条目21项、三级条目35项.结论 基于德尔菲法构建的喉部分切除患者住院-门诊-家庭阶梯式吞咽康复训练方案具有一定的科学性、可行性,可为医护人员提供参考.

Abstract

Objective To construct an inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients.Methods From June 2022 to May 2023,a preliminary program for inpatient-outpatient-home step swallowing rehabilitation training for partial laryngectomy patients was developed through literature search and analysis.Delphi method was used for two rounds of expert inquiry on the inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients.Results A total of 15 experts were included for two rounds of expert inquiry.The effective response rates of the questionnaires from the two rounds of expert inquiries were 100.0%(15/15).The expert authority coefficients for the two rounds of inquiry were 0.885 and 0.855,respectively,and the Kendall harmony coefficients were 0.217 and 0.230,respectively(P<0.01).The final inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients included three primary items(swallowing training step,swallowing training methods,and feeding guidance methods),21 secondary items,and 35 tertiary items.Conclusions The inpatient-outpatient-home step swallowing rehabilitation training program for partial laryngectomy patients based on the Delphi method has certain scientific and feasibility and can provide a reference for medical and nursing staff.

关键词

喉切除术/德尔菲法/吞咽康复训练

Key words

Laryngectomy/Delphi technique/Swallowing rehabilitation training

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基金项目

北京市医院管理中心2021年度"培育计划"(PX2021009)

首都医科大学附属北京同仁医院院内基金(2020-YJJ-HLL-003)

首都医科大学2023年度数智护理基础临床协同研究专项课题(SZHL23M04)

出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
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